LIL' CHAMPS LEARNING CENTER (formerly Cypress Christian Preschool)
1801 HAVENDALE BLVD. WINTER HAVEN FL 33881
PHONE (863)295-9559 FAX (863) 294-1618
DIRECTOR GAIL METZGAR ASSISTANT ANGIE HARNAGE
FLOCS # 4603 (FLORIDA LEAGUE OF CHRISTIANS SCHOOLS)
“TRAIN UP A CHILD IN THE WAY HE SHOULD GO”
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NEW STUDENT REGISTRATION INFORMATION
We are pleased that you are considering Lil' Champs Learning Center for childcare for your child/children. We pray that we can be of assistance to you as you make this important decision.
In order to best inform yourself about Lil' Champs, please be sure to read the current handbook and related materials. You can also make an appointment to tour our facilities prior to the completion of any forms.
If you have decided that Lil' Champs is the best preschool for your child/children, please complete and return the following forms as soon as possible. As required by law, medical and immunization records will be requested from you and must be turned in to the office before your child can attend.
1.Application form-please PRINT all information; (one for each child enrolled)
2.Notarized Form completed (renewed yearly)
3.Medical Records (currant) - ORIGINAL ONLY- NO COPIES!
a.Physician’s Medical statement- must be submitted to prove the child has been examined by a doctor
b.Immunization Forms (Shots)-must be submitted to prove a child has been immunized with proper vaccinations in accordance with age recommendations.
4.State Birth Certificate – Copy only
5.Parental Agreement
a.Hand book policies
b.Discipline policies
Please feel free to contact the school office or make an appointment to see the Director if you have any questions.
Sincerely,
Gail Metzgar
LIL' CHAMPS LEARNING CENTER
1801 Havendale Blvd.
Winter Haven, FL 33881
PARENTAL AGREEMENT
We agree to abide by all school policies set forth in the Parent/Child Handbook, including such policies as changed by the Director of the school.
We hereby invest authority in the school to discipline our child (ren) through the
school discipline program. We further agree that we will cooperate and discipline
our child in the home as needed.
We authorize emergency medical care in the event of serious illness or accident as
designated on the emergency form if parents cannot be reached.
We grant to the school permission to take our child (ren) on walks, field trips, and
excursions away from the school as long as we sign and grant permission on consent
form.
We acknowledge that the items stated above constitutes one of two agreements between
us and the school and there are no other agreements, oral or otherwise.
We as parents of the child/children, do sincerely give our pledge to all items stated above
We agree to pay a yearly registration fee of $50.00 for each child of ours that enrolls in Lil' Champs Learning Center. This fee is due upon registration and is to be paid every new school year, with a separate check.
We agree to pay tuition as stated in the Parent/Child Handbook. Tuition is due every Friday for the week in advance. Tuition can be paid weekly, bi-weekly, monthly; which ever one you choose to pay, it must stay one week ahead. We are aware there is a $15.00 late fee for any payments made after Monday at 6 pm. I agree to add the late fee to my tuition payment.
We agree and understand that NSF checks will mot be re-submitted. NSF checks when returned to Lil' Champs, will be given back to the owner. A new check is to be written with an additional $15.00 added to the original amount. If a NSF check is given to Lil' Champs a second time in one year, the tuition fee, along with additional $15.00, will be paid by cashier check, money order, or cash for the remaining payment period.
We agree and understand to give Lil' Champs a two week notice if we decide to withdrawal child(ren).
We agree to pay all extra school fees where they apply and the dates they are due.
We acknowledge that the items stated above and below, as applicable, constitute one of two agreements, between us and the preschool and there are no other agreements oral or otherwise.
We as parents/guardians of the applicant, do sincerely give our pledge to al items stated above, as applicable.
In the event of an emergency, Lil' Champs Learning Center has my permission to obtain emergency treatment by paramedics that may take my child to the closet available Emergency Facility as dispatched by their supervisors.
I UNDERSTAND that my child will participate in many varied learning activities while attending Lil' Champs Learning Center, among which ate the learning of character-building stories from the Bible and prayer time.
I have READ and AGREE to the DISCIPLINE POLICIES stated in the Lil' Champs Parent/Child Handbook.
I GIVE MY PERMISSION to Lil' Champs Preschool for my child to participate in activities anywhere on the property of Lil' Champs Learning Center.
I have READ and AGREE to the TUITION POLICIES stated in the Lil' Champs Learning Center Parent/Child Handbook; which states that tuition payments must be paid every week, regardless of holidays or illness. Payments cease only upon withdrawal. I AM AWARE that the FIRST WEEK TUITION and REGISTRATION FEE is NON-REFUNDABLE, no exceptions.
I AM AWARE and AGREE that weekly preschool payments are to be paid on the Friday preceding week. That if NOT PAID by MONDAY, my account will be subject to a $20.00 LATE FEE.
I MUST NOTIFY preschool if anyone other that the people previously listed ate to pick-up my child/children. For my child/children protection, they WILL NOT BE RELEASED TO UNAUTHORIZED PERSON. PICTURE IDENTIFICATION WILL BE REQUIRED.
I/WE HAVE READ the Lil' Champs Learning Center Parent/Child Handbook. I/We UNDERSTAND and AGREE to comply with the POLICIES and GUIDELINES.
Verbal praise, stickers or other rewards are given to reinforce good behavior. Discipline for not following classroom rules may include time-out, office visit. Losing privileges, phone call to parent and/or incident report to parent. Lesser problems will be taken care of in the classroom. If problems become recurrent or excessive, the parent will be called to discipline child. If the child’s behavior shows no improvement or if the child has reached the limits of what can be handled within the classroom, the parent will be called to come to the office to take him/her home for the day. Parents must follow these guidelines. If the parent does not, the child may be suspended from the center. If behavior still does not improve after the parent has disciplined the child, the parent may be asked to find a new school for the child. The learning experience of the rest of the class cannot be sacrificed for one child who requires all the teacher’s time to deal with discipline problems.
Lil' Champs Learning Center will not accept a child who bites other children or teachers. If biting occurs excessively (5 times) than the parent will be asked to remove the child from the center immediately. The class cannot be sacrificed from over-all care for one child who requires all the teachers time to deal with a biting problem.
Also the center will not accept a child hitting, slapping, kicking, or spitting on teachers. If any of these actions occurs excessively (5 times) that the parent will be asked to remove the child from the center immediately. This type of behavior WILL NOT be tolerated.
K4 Class Discipline Guidelines: Parent information sheet
I will raise my hand and wait to be called on before speaking.
I will stay in my seat unless I have permission to get up.
I will keep my desk and classroom neat and respect the property of others.
I will show respect and kindness to others with my words and actions.
I will be a good worker and follow my teacher’s instructions.
I have READ and AGREE to the DISCIPLINE POLICIES stated in the Lil' Champs Learning Center Parent/Child Handbook. I/We UNDERSTAND and AGREE to comply with the POLICIES and GUIDELINES
I hereby certify that I am the parent/guardian of _________________________________
And give my permission for the following.
AUTHORIZATION FOR EMERGENCY MEDICAL CARE
In order to meet all legal requirements, I hereby authorize the Director of the preschool, ot the person in charge of the event of her absence, to give my consent for any and all necessary emergency medical treatment for my child when said child is in said individual’s custody. In the event of serious illness or accident, and I cannot be immediately contacted, I give my permission to have my child moved by ambulance or other conveyance to a doctor’s office, clinic, or hospital for immediate attention. I also assume responsibility for the payment of the same.
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PARENT’S SIGNATURE
AUTHORIZATION TO TRANSPORT
For field trips and in the event of an emergency that requires the preschool to vacate the premises I and/or my contacts are unreachable, I hereby authorize the Director or the person in charge in the event of her absence transport my child to a safe environment until I can be reached.
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PARENT’S SIGNATURE
PHOTO RELEASE
I give my permission for my child’s photograph or video image to be taken while he/she is in the care of the preschool personnel. Such images may be posted in classrooms or other appropriate places within the center, used in presentations or promotional materials, or distributed staff or clients. I understand that I may terminate my permission at any time in the future.
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PARENT’S SIGNATURE
State of Florida
County of Polk
Sworn to and subscribed before me in the aforementioned State and County this ____ day of _____________________ 200__, personally appeared _________________________
who is personally known by me or who produced Florida Driver’s License# ________________________, as identification and who did not take an oath.
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